NPI | 1588066468 |
---|---|
Other Name | JESSICA MARIE VAIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F306893) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306893) |
Enumeration Date | 2014-09-22 |
Last Update Date | 2021-01-20 |